Changes in weight and health behaviors after pregnancies complicated by gestational diabetes mellitus: the CARDIA study.
Changes in weight and health behaviors after pregnancies complicated by gestational diabetes mellitus: the CARDIA study.
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怀孕后的体重和健康行为的变化因妊娠糖尿病而复杂化：Cardia研究。
DOI：
10.1002/oby.20133
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发表时间：
2013-06
期刊：
影响因子：
6.9
通讯作者：
Clark, Jeanne M.
中科院分区：
文献类型：
--
作者：
Bennett, Wendy L.;Liu, Su-Hsun;Yeh, Hsin-Chieh;Nicholson, Wanda K.;Gunderson, Erica P.;Lewis, Cora E.;Clark, Jeanne M.
我们比较了有和没有妊娠期糖尿病（GDM）的妇女怀孕前后体重、体重指数（BMI）、腰围、饮食和体力活动的变化。使用年轻人冠状动脉风险发展（CARDIA）研究，我们确定了20年随访期间至少有一次妊娠的女性（n= 1，488，3，125例妊娠）。我们使用线性回归和广义估计方程，比较137例GDM孕妇和1,637例非GDM孕妇怀孕前后健康行为和人体测量的变化，调整产次、分娩年龄、孕前检查结果测量、种族、教育、分娩方式以及分娩和孕后检查之间的间隔。与妊娠期无GDM的女性相比，GDM女性的孕前平均体重（158.3 vs 149.6 lb，p=0.011）和BMI（26.7 vs 25.1 kg/m2，p=0.002）较高，但每日总热量摄入量无显著性降低，体力活动水平相似。GDM组和非GDM组的平均产后体重均较高，为7-8磅，且在怀孕后平均1.4年体力活动减少。两组都增加了总热量摄入，但减少了快餐频率。怀孕前后体重、体重指数、腰围、体力活动和饮食的变化在怀孕期间有和没有GDM的妇女之间没有差异。怀孕后，有或没有GDM的妇女增加了热量摄入，BMI和体重，减少了体力活动，但减少了吃快餐的频率。鉴于这些趋势，需要对产后生活方式进行干预，特别是对GDM女性，以降低肥胖和糖尿病风险。
We compared pre- to post-pregnancy change in weight, body mass index (BMI), waist circumference, diet and physical activity in women with and without gestational diabetes mellitus (GDM). Using the Coronary Artery Risk Development in Young Adults (CARDIA) study we identified women with at least one pregnancy during 20 years of follow-up (n=1,488 with 3,125 pregnancies). We used linear regression with generalized estimating equations to compare pre- to post-pregnancy changes in health behaviors and anthropometric measurements between 137 GDM pregnancies and 1,637 non GDM pregnancies, adjusted for parity, age at delivery, outcome measure at the pre-pregnancy exam, race, education, mode of delivery, and interval between delivery and post-pregnancy examination. Compared with women without GDM in pregnancy, women with GDM had higher pre-pregnancy mean weight (158.3 vs. 149.6 lb, p=0.011) and BMI (26.7 vs. 25.1 kg/m2, p=0.002), but non-significantly lower total daily caloric intake and similar levels of physical activity. Both GDM and non GDM groups had higher average postpartum weight of 7–8 lbs and decreased physical activity on average 1.4 years after pregnancy. Both groups similarly increased total caloric intake but reduced fast food frequency. Pre- to post- pregnancy changes in body weight, BMI, waist circumference, physical activity and diet did not differ between women with and without GDM in pregnancy. Following pregnancy women with and without GDM increased caloric intake, BMI and weight, decreased physical activity, but reduced their frequency of eating fast food. Given these trends, postpartum lifestyle interventions, particularly for women with GDM, are needed to reduce obesity and diabetes risk.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
DOI：
10.1111/j.1464-5491.2011.03415.x
发表时间：
2012-02
期刊：
Diabetic medicine : a journal of the British Diabetic Association
影响因子：
--
作者：
Kim C;Draska M;Hess ML;Wilson EJ;Richardson CR
通讯作者：
Richardson CR
影响因子：
16.2
作者：
Downs, DS;Ulbrecht, JS
通讯作者：
Ulbrecht, JS
影响因子：
5.8
作者：
Ratner, Robert E.;Christophi, Costas A.;Kahn, Steven E.
通讯作者：
Kahn, Steven E.
影响因子：
3.5
作者：
Bennett, Wendy L.;Ennen, Christopher S.;Clark, Jeanne M.
通讯作者：
Clark, Jeanne M.